Cross-Sectional associations of Smoking and E-cigarette Use with Self-Reported Diagnosed hypertension: Findings from Wave 3 of the Population assessment of Tobacco and health Study.

Introduction:
This article summarizes a study that examines the cross-sectional associations of smoking and e-cigarette use with self-reported diagnosed hypertension in young and middle-aged adults. The study aims to scrutinize the association between vaping and hypertension independently from cigarette smoking and approximates cumulative exposure to both products together.

Key Points:

* The study analyzed data from Wave 3 of the Population assessment of Tobacco and health (PaTh) Study, a nationally representative prospective cohort study.
* The study focused on young and middle-aged adults (18-54 years old) and excluded respondents who were current-established users of 'other' tobacco products.
* The study defined self-reported diagnosed hypertension based on responses to questions about whether a doctor, nurse, or other health professional ever told the respondent they had high blood pressure and whether their high blood pressure was under control in the past 12 months.
* The study assessed smoking and vaping status using separate binary variables and a composite smoking and vaping variable with six categories.
* after adjusting for potential confounders, current vaping and current smoking were both associated with higher odds of hypertension.
* Respondents who were concurrently smoking and vaping had the highest odds of hypertension.
* The study highlights the uncertainty surrounding long-term health consequences of vaping and important distinctions between respiratory and cardiovascular outcomes when considering the harm reduction potential of e-cigarettes.

Main Message:
The study found that both smoking and vaping were associated with higher odds of hypertension in young and middle-aged adults. The findings reinforce the uncertainty surrounding long-term health consequences of vaping and highlight the importance of considering the harm reduction potential of e-cigarettes in the context of both respiratory and cardiovascular outcomes.

Miller CR, Shi h, Li D, Goniewicz ML. Cross-Sectional associations of Smoking and E-cigarette Use with Self-Reported Diagnosed hypertension: Findings from Wave 3 of the Population assessment of Tobacco and health Study. Toxics. 2021;9(3). doi:10.3390/toxics9030052